Case Report  |   October 2017
Puerperal Complications of a Retroplacental Uterine Leiomyoma
Author Notes
  • From the Department of Obstetrics and Gynecology at the Ohio University Heritage College of Osteopathic Medicine in Athens (Dr Gerome) and the Department of Internal Medicine at the Walter Reed National Military Medical Center in Bethesda, Maryland (Dr Church). Dr Church is a second-year resident. 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  • Disclaimer: The views expressed herein are those of the authors and do not necessarily reflect the official policy or position of the Department of the Army, Department of Defense, or the US Government. 
  •  *Address correspondence to Jody M. Gerome, DO, Ohio University Heritage College of Osteopathic Medicine, 107 Parks Hall, Athens, OH 45701-1359. E-mail: geromez@ohio.edu
     
Article Information
Obstetrics and Gynecology
Case Report   |   October 2017
Puerperal Complications of a Retroplacental Uterine Leiomyoma
The Journal of the American Osteopathic Association, October 2017, Vol. 117, 660-663. doi:10.7556/jaoa.2017.123
The Journal of the American Osteopathic Association, October 2017, Vol. 117, 660-663. doi:10.7556/jaoa.2017.123
Abstract

Leiomyoma can be found concomitant with pregnancy and can cause complications during labor, delivery, and postpartum management. In the present case, a 26-year-old nulliparous patient at 39.4 weeks gestational age with a 12×9-cm retroplacental leiomyoma underwent a spontaneous vaginal delivery. Nine weeks after delivery, the patient presented with acute pain and vaginal bleeding. Immediate manual removal of the bulk of the leiomyoma tissue via vaginal approach was performed. Four weeks later, the patient returned for removal of the remaining tissue via hysteroscopic excision. This case demonstrates that a large retroplacental leiomyoma can be associated with both immediate and delayed postpartum complications, and it can be managed in a minimally invasive way.

Subscribe to view more

For full access to this article, log in to an existing user account, purchase an annual subscription, or purchase a short-term subscription.

Order a subscription

Subscribe

Pay Per View

Entire Journal
30-Day Access

$30.00

Buy Now

This Issue
7-Day Access

$15.00

Buy Now

This article
24-Hour Access

$5.00

Buy Now

Sign In Or Create an account

Please sign in using your Osteopathic.org login.
If you do not have an AOA login, you may create a new account.

Or Subscribe